Simple nonsurgical method of reduction of coronary catheter knot
Gobu Packirisamy1, Geofi George, Balachander Jayaraman
1Department of Cardiology, JIPMER, Pondicherry 605 006, India.
Journal of Cardiovascular Disease Research
|September 13, 2013
Insights
Coronary catheter knotting during procedures can be resolved non-surgically. This case report details a successful percutaneous reduction of a knotted catheter, avoiding invasive surgery.
Area of Science:
- Cardiology
- Interventional Cardiology
- Medical Device Complications
Background:
- Catheter knotting and kinking are known complications in coronary diagnostic and interventional procedures.
- These events can potentially lead to procedural delays or necessitate surgical intervention.
Purpose of the Study:
- To report a case of coronary catheter knotting during a cardiac procedure.
- To demonstrate the successful percutaneous management of catheter knotting.
Main Methods:
- A case of coronary catheter knotting was identified during a cardiac intervention.
- The knot was successfully reduced using a percutaneous technique, without surgical intervention.
Main Results:
- The catheter knot was successfully resolved through a non-surgical, percutaneous approach.
- The patient did not require surgery to address the catheter complication.
Conclusions:
- Percutaneous techniques are effective in managing coronary catheter knotting.
- Non-surgical resolution of catheter knotting avoids patient exposure to operative risks.
Abstract:
Knotting and kinking of the coronary catheter is one of the complications during diagnostic or interventional procedures. These complications can be tackled percutaneously without subjecting the patient to surgery. We are reporting one such case of catheter knotting and how it was reduced percutaneously.

